Section 2 Interventions

NutritionActivityBreathingFatigueComfort

Chemotherapy Radiation Biologic Therapies Hormonal

Manipulation Antianemic Blood transfusion

Surgery Complimentary

therapies Alternative therapies Transplant e.g. stem

cell Palliative Care Photodynamic therapy Gene therapy

ProphylacticDiagnosticCurativePalliative

What are the differences?

Purpose is to destroy cancer cells with minimal exposure of normal cells

Local treatmentAmount of radiation is called

exposureAmount of radiation absorbed is

called radiation dose

Chemotherapy-used to cure and to increase survival time

CytotoxicCombination therapyCategories of Chemotherapeutic

drugs

Can slow cancer rateUsually does not lead to a cure

Modify patient’s biologic response to tumor cells

Ex: interleukin, interferonSupportive therapy: colony-

stimulating factors

ExperimentalTargeted therapy combines gene

therapy and immunotherapy

Neutropenia Anemia Thrombocytopenia Extravasation Stomatitis Mucositis Infection-sepsis Chemotherapy

induced vomiting DIC

Graft versus host disease

Peripheral Neuropathy

Spinal cord compression

Superior vena cava syndrome

Changes in cognitive function

SIADH TLS

After receiving report on your patient who is on neutropenic precautions you are delegating am care and vital signs to the unlicensed assistive personnel (UAP). What are 3 pieces of information you would need to stress to the UAP and why? Regarding this same patient discuss 3 pieces of education you can provide to the patient and family members regarding prevention of infection.

Pharmacologic- antiemeticAlternative therapies: music, guided

imagery, accupressure, muscle relaxation

Palliative care

You are caring for a 45-year-old breast cancer patient who is experiencing side effects from chemotherapy. During report you are told that she is experiencing alopecia, mucositis and her lab values are as follows:

Hemoglobin: 8gm/dL Absolute neutrophil count (ANC): 400/microL Platelets: 120,000/microL Based on the information provided please

your plan of care for your shift (goals & interventions).